Medication: reasons and interventions for noncompliance

J Psychosoc Nurs Ment Health Serv. 1993 Oct;31(10):23-5. doi: 10.3928/0279-3695-19931001-08.

Abstract

1. There is a strong correlation between medication noncompliance and higher rates of illness relapse. The causes of noncompliance include side effects, knowledge deficits, and patient/therapist relationships. 2. The nurse's ongoing assessment and understanding of the patients' reasons for treatment resistance is the key to promoting medication compliance. 3. Because compliance requires patients' complete understanding of their illness and their need for medication treatment, patient education is the initial intervention in promoting medication adherence. 4. The patient must no longer be viewed as the guilty party. The promotion of medication compliance must be the responsibility of both the health care professional and the patient.

MeSH terms

  • Defense Mechanisms
  • Humans
  • Mental Disorders / drug therapy*
  • Mental Disorders / nursing
  • Mental Disorders / psychology
  • Nurse-Patient Relations
  • Psychotherapy
  • Psychotropic Drugs / adverse effects
  • Psychotropic Drugs / therapeutic use*
  • Reality Testing
  • Self Concept
  • Treatment Refusal*

Substances

  • Psychotropic Drugs